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However, clinical screening is associated with both false positive and false negative diagnoses and has never been evaluated in a randomised trial. The emergence of hip ultrasound provides renewed impetus to reconsider and formally evaluate screening for CDH. Ultrasound imaging of the newborn hip may be used as a screening test and to assess and manage infants with clinically detected hip instability. Universal primary ultrasound screening has been adopted in some European countries, but enthusiasm for this new technology has been tempered by the subsequent large' increases in treatment and follow up. This paper reviews the existing evidence to support the different approaches to screening and describes the research agenda of the MRC working party on congenital dislocation of the hip. A randomised trial of screening is required to evaluate the policy options before ultrasound screening becomes widely adopted within the United Kingdom. The feasibility and acceptability of a trial need to be explored and key issues relating to trial design addressed.<\/jats:p>","DOI":"10.1177\/096914139500200406","type":"journal-article","created":{"date-parts":[[2017,1,15]],"date-time":"2017-01-15T07:24:18Z","timestamp":1484465058000},"page":"200-206","source":"Crossref","is-referenced-by-count":29,"title":["Evaluating the National Screening Programme for Congenital Dislocation of the Hip"],"prefix":"10.1177","volume":"2","author":[{"given":"Carol","family":"Dezateux","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Institute of Child Health, London WC1N 1EH"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Godward","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Institute of Child Health, London WC1N 1EH"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1995,12,1]]},"reference":[{"key":"bibr1-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.44B2.292"},{"key":"bibr2-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.4.5576.377"},{"key":"bibr3-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.63B1.7204472"},{"key":"bibr4-096914139500200406","volume-title":"Screening for the detection of congenital dislocation of the hip in infants.","author":"Standing Medical Advisory Committee","year":"1969"},{"key":"bibr5-096914139500200406","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.71.12.1378"},{"key":"bibr6-096914139500200406","first-page":"56","volume":"20","author":"Leck I.","year":"1986","journal-title":"J R Coll Physicians Lond"},{"key":"bibr7-096914139500200406","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.71.12.1311"},{"key":"bibr8-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198709000-00011"},{"key":"bibr9-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(84)91370-9"},{"key":"bibr10-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.305.6851.435"},{"key":"bibr11-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.305.6858.885-c"},{"key":"bibr12-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.74B5.1527106"},{"key":"bibr13-096914139500200406","first-page":"310","volume":"15","author":"Watson JAS","year":"1990","journal-title":"Matern Child Health"},{"key":"bibr14-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199003000-00001"},{"key":"bibr15-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-199302020-00005"},{"key":"bibr16-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1992.tb12198.x"},{"key":"bibr17-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1007\/BF02021542"},{"key":"bibr18-096914139500200406","first-page":"423","volume":"75","author":"Castelein RM","year":"1993","journal-title":"J Bone Joint Surg (Br)"},{"key":"bibr19-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.76B4.8027135"},{"key":"bibr20-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198811000-00007"},{"key":"bibr21-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.76B4.8027133"},{"key":"bibr22-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.71B1.2644290"},{"key":"bibr23-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.75B3.8496227"},{"key":"bibr24-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199208000-00004"},{"key":"bibr25-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.72B2.2179221"},{"key":"bibr26-096914139500200406","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.162.2.8310933"},{"key":"bibr27-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.72B3.2187878"},{"key":"bibr28-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.76B4.8027134"},{"key":"bibr29-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(90)93318-J"},{"key":"bibr30-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1177\/096914139500200214"},{"key":"bibr31-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198712000-00007"},{"key":"bibr32-096914139500200406","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.61B3.158025"},{"key":"bibr33-096914139500200406","doi-asserted-by":"crossref","unstructured":"Rabin DL, Barnett CR, Arnold WD, Freiberger RH, Brooks G. 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